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General NPI Number Information
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NPI Number | 1518993625
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Entity Type | Organization
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Legal Business Name | HS MEDICAL INC
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Dates
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Enumeration Date | 06/23/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 671 S COOLEY DRIVE SUITE 103
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City | COLTON
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State | CA
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Zip | 92324
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Country | US
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Telephone | 909-370-3979
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Fax | 909-370-3923
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Provider Business Mailing Address
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Address Line | PO BOX 2118
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City | COLTON
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State | CA
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Zip | 92324-0823
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Country | US
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Telephone | 909-370-3979
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Fax | 909-370-3923
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GONZALO ALMONTE SANTA MARIA
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Credential | RCP
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Telephone | 909-370-3979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 44848
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License Number State | CA
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